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Questions marked with an asterisk (*) are mandatory.
Thank you for your interest in offering Hill’s products through home delivery. Upon completion of this questionnaire, the Hill’s
product line will be available for home delivery to your clients through VetCentric.*
*Processing may take up to five business days.
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1
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* On average, how many
food scripts do you write per month in your clinic (from any manufacturer, including food you dispense in clinic and food you script out)?
| None |
| 1-10 |
| 11-20 |
| 21-50 |
| 51-100 |
| More than 100 |
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2
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* What is the most effective way for VetCentric to communicate with you about new products and promotions? Please choose all that apply.
| Email |
| Fax |
| Telephone |
| Direct
Mail (postcards, newsletters etc.) |
| Social
Media (facebook, twitter etc.) |
| Internal Sales Representative |
| External Sales Representative |
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3
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* Your account with VetCentric is currently set up under our MyVetPlus model, which does not allow you to earn revenue from products purchased through VetCentric. Instead, all transactions
flow through VetCentric's internet merchant account.
VetCentric offers a second model, VetStoreRx, that allows you to participate financially in each transaction and earn revenue through your own internet merchant account.
Please confirm your preference below for our records.
| I prefer to remain a MyVetPlus Clinic. |
| I prefer to move to the VetStoreRx model and set up my own Internet Merchant Account to earn revenue. Please contact me. |
| I’m not sure. Please contact me with additional information about how I can earn money with my VetCentric account. |
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4
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* Please fill in the following information so that VetCentric can provide your clients with access to the Hill's product line.
Be sure to include your company/clinic name.
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5
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What is your clinic's 10 digit phone number?
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